Individual
CASEY MARIE PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6500 LONGLEY LN, RENO, NV 89511-2632
(775) 799-7399
Mailing address
6500 LONGLEY LN, RENO, NV 89511-2632
(775) 799-7399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C07120
MD
363A00000X
Physician Assistant
Primary
PA2432
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C07120
LICENSE
MD
Enumeration date
03/03/2019
Last updated
11/05/2024
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